Postpartum Osteitis Pubis Treated Successfully with Shockwave Therapy: A Case Report

Natalya Fazylova Arkady Aaron

doi:10.4172/2161-0932.1000277

Abstract

The purpose of this case study was to demonstrate that Extracorporeal Shockwave Therapy (ESWT) could be an adjunctive therapy for patients with postpartum osteitis pubis. Osteitis pubis is a painful, inflammatory condition that is difficult to handle without a comprehensive treatment method. A 26-year-old female patient with a notable condition of postpartum osteitis pubis participated in this case study. The treatment involved ESWT as a therapy for the patient’s groin and pubic pain due to osteitis pubis. A comprehensive physical therapy regimen and exercises were implemented to augment the effect of shockwave treatment. The study identified the beneficial role of ESWT in treatment of osteitis pubis, which has not previously been mentioned and warrants further investigation. Further studies would help determine whether ESWT is a suitable adjunctive therapy for the treatment of osteitis pubis.

Highlights

Osteitis pubis is a painful, inflammatory condition that is difficult to handle without a comprehensive treatment method
The pelvis and its structures such as the symphysis pubis, cartilage, pubic rami, musculotendinous and ligamentous pelvic structures are affected in osteitis pubis condition [1]
We present a case of postpartum osteitis pubis that was treated successfully using Extracorporeal Shockwave Therapy (ESWT)

Summary

Introduction

Osteitis pubis is a painful, inflammatory condition that is difficult to handle without a comprehensive treatment method. The patient developed pain in lower abdominal area radiating to the groin She described her symptoms as pain over the pubic region, shooting over the medial aspect of thigh and lumbar spine, morning stiffness was reported. The pain was sometimes felt on the bilateral groin area (L>R) and the perennial region It was often dull and ache during rest but became sharp and shooting with walking, bending, getting up from sitting positions, walking up and down the stairs and other motion related activities. The patient was diagnosed with osteitis pubis She subsequently began a therapeutic regimen of NSAIDs, rest, physical therapy exercise for four weeks and received intra-articular steroid injection. ESWT was subsequently initiated as a therapy for the patient’s groin and pubic pain due to osteitis pubis. Upon discharge after six weeks, the patient rated her pain a 1-0/10 on VAS and 1/50 or 2% on ODI and ambulation, transfers, stair negotiations and ADLs were no longer compromised

Discussion

Conclusion